Category Archives: Facharztausbildung in Deutschland

# My aim from this video is to share my expereience and help foreign doctors in understanding better what is tested in the Fachsprachenprüfung. Sorry for the mistakes! “Life is too short to learn German!’

**** Language mistakes are tolerated. But it is a huge problem when you use Lateinisch with the patients. It is wrong therefore to ask the patient: “Haben Sie Diabetes/Hypertonie? Haben Sie Appendizektomie gehabt” — Correct is to use the “German words”: Haben Sie Zuckerkrankheit? Bluthochdruck? Haben Sie Blinddarmenfernung gehabt?”

*** The challenging-question I gave of Herr Müller having severe abdominal pain and demanding analgesics: Should one give or withold analgesics in case of acute abdomen until a diagnosis is reached? I thought the answer was “withold the analgesics”. But it seems this was the situation “for decades” (reference: http://www.ncbi.nlm.nih.gov/pubmed/21249672). Now, according to the previous Cochrane review from 2011, “This strategy has been questioned by some studies that have shown that the use of analgesia in the initial evaluation of patients with AAP leads to a significant reduction in pain without affecting diagnostic accuracy.”

Unfortunately, I do not have enough experience neither here in Germany nor in Jordan. So, maybe you can help in answering if Herr Müller could get analgesics at the time of the history-taking or not. I think one can wait until after the physical examination. What do you think?